CoFlex® TLC Zinc & Calamine

Last updated on 12/26/20 | First published on 12/10/20 | Literature review current through Dec. 2020 [cite]

Technology and Product Assessment

Product Type: Compression: Compression Bandages

Unbiased information for educational purposes only. WoundReference does not produce, market, advertise, re-sell or distribute healthcare goods or services consumed by, or used on patients. For information about specific products, please contact the manufacturer directly.

CoFlex TLC Unna Boot Bandages are two-step bandaging systems designed to increase patient's comfort. CLAIMED BENEFITS: Layer 1 is the foam comfort roll, with options of soothing zinc or calamine. Unlike gauze, the foam roll offers more absorbency, creates no indentation or skin breakdown, leaves no residue on skin or mess to clean up, and stays moist and comfortable. Layer 2 is the moisture-resistant cohesive bandage that applies continuous compression to assist with edema and the healing of wounds. INTENDED USE: For patients with an ABI of ≥ 0.8. CoFlex TLC Zinc and TLC Calamine kits are designed to treat patients with multiple wounds or other skin conditions. HCPCS: A6456, A6452

Manufacturer: Milliken Healthcare Andover Healthcare, Inc.

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Zinc paste band w >=3"<5"/yd

A6456

CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Zinc paste band w >=3"<5"/yd

A6456

CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Zinc paste band w >=3"<5"/yd

A6456

CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Zinc paste band w >=3"<5"/yd

A6456

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Select your state for Medicare
DME coverage and co-payment

Product

Estimated
Out-of-pocket
Cost

Patient DME Co-Payment per Billable Unit

DME Reimbursement to Suppliers

Frequency Replacement if Requirements Met

Office and/or Facility - Product reimbursement

Milliken Healthcare Andover Healthcare, Inc.
CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

$.29
per yard

$1.46

1 change/week

Milliken Healthcare Andover Healthcare, Inc.
CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

$.29
per yard

$1.46

1 change/week

Milliken Healthcare Andover Healthcare, Inc.
CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

$.29
per yard

$1.46

1 change/week

Milliken Healthcare Andover Healthcare, Inc.
CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

$.29
per yard

$1.46

1 change/week

* Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Product

Estimated
Out-of-pocket
Cost

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Coming soon

CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Coming soon

CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Coming soon

CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CPT Code	Description	Physician Reimbursement - Office	Physician Reimbursement - Facility	Facility Reimbursement
29580	Application of paste boot	$63.00	$29.88	$135.42

Based on national averages
Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center). Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Non-participating physicians are subject to the limiting charge rules. The coinsurance is limited to 20% of the allowable fee.
When covered by the Medicare contractor, this manufacturer product is separately payable in a QHP office based on the Average Sales Price (ASP) as reported by the manufacturer on a quarterly basis.

Hover on the information button next to each header for detailed explanation on the type of information provided by the table
The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.

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Other related brands: 3M™ Coban™ 2 Layer Compression System, Below the knee, ..., CoFlex TLC, Layer 1: 4’’ x 3.4 yds., Layer 2: 4’’ x 5.1..., 3M™ Coban™ 2 Layer Lite Compression System, Below the k..., 3M™ Coban™ Sterile Self-Adherent Wrap, 3 in. x 5 yd./75..., CoFlex TLC Lite, Layer 1: 4’’ x 3.4 yds., Layer 2: 4’’ ..., ACE Elastic Bandage with Clips, 1 Each, 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Fourflex 4-Layer Compression System, 1 KT (*), Tensoshape®, Below the Knee. 4 in x 11 yds, 1 roll, Tensoshape®, Below the Knee. 3 in x 11 yds, 1 roll, 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Molnlycke Setopress® High Compression Bandage, 10cm x 3..., 3M™ Coban™ Sterile Self-Adherent Wrap, 6 in. x 5 yd./15..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Tensoshape®, Below the Knee, 1.75 in x 11 yds, 1 roll, Tensoshape®, Below the Knee. 4.5 in x 11 yds, 1 roll, 3M™ Coban™ 2 Layer Compression System, Below the knee (..., McKesson Unna Boot with Calamine, 4 Inch X 10 Yard, Pin..., Threeflex 3-Layer Compression System, 1 KT (*), 3M™ Coban™ 2 Layer Compression System, Above the knee, ..., Kendall™ Cohesive Bandage, 1" X 5 Yds, 1 Roll/Each, 30 ..., 3M™ Coban™ 2 Layer Compression System, Toe boot, 2 roll..., Co-Wrap®, Self-Adherent Bandages, 2" x 5 yds./ 5cm x 4...., Cover-Roll® Stretch: 2" X 10 yds, 1 roll/Box, VISCOPASTE* PB7 Zinc Paste Bandage, 3 x 10 yd, 12 each/..., Tensoshape®, Full Leg, 2.5 in x 11 yds, 1 roll, Cover-Roll® Stretch: 4" X 10 yds, 1 roll/Box, Unna Boot Zinc Impregnated Gauze, 3” x 10 yds, 12/cs, Unna-Z Bandage W / Zinc, 4X10Yd, 12/CS, Curity™ Unna Boot Bandage, 4" x 10 yds with Calamine, 1..., JOBST® Comprifore® lite, 3-layer compression bandaging ..., Curity™ Unna Boot Bandage, 4" x 10 yds, 1 ea, Unna-Z Bandage W / Zinc, 3X10Yd, 12/CS, Comprilan®: 5m X 12cm (4.7" x 5.5 yds), Cotton, Latex F..., Shur-Band® LF, Latex-Free Self-Closure Elastic Bandages..., Shur-band® LF Ice Wrap, Latex-Free Self-Closure Elastic..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., JOBST Compri2 lite,Lite compression (ABPI 0.5 - 0.8), 9..., Tensoshape®,Below the Knee. 3.5 in x 11 yds, 1 roll, Shur-Band® LF, Sterile, Latex-Free Self-Closure Elastic..., McKesson, 3 Inch X 5 Yard, Tan, NonSterile, LoPress®,Latex-Free Inelastic Compression Bandages, 2.3..., Cover-Roll® Stretch: 12" X 2 yds, 1 roll/Box, Curity™ Stretch Bandages,Non-sterile Bulk , 2" x 75" (r..., Co-Lastic® LF, Tan, Latex-Free Cohesive Elastic Bandage..., Curity™ Stretch Bandages,Sterile in Soft Pouch, 1" x 75..., Tensoshape®, Full Leg, 3.5 in x 11 yds1 roll, Peha-haft®, 4" x 4.5 yds./ 10cm x 4m, Pack of 135, JOBST Compri2 lite, Lite compression (ABPI 0.5 - 0.8), ..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Curity™ Stretch Bandages, Sterile in Soft Pouch,4" x 75...,

(*) multicomponent compression system. Each layer has a different HCPCS

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

Topic 1576 Version 1.0

CoFlex® TLC Zinc & Calamine

CoFlex® TLC Zinc & Calamine

ESSENTIALS

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